Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467634642 Deactivated / Inactive NPI Male Practitioner

Dr. Duane Robert Wacker , DDS

Dentist • Chino, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Duane Wacker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2007
NPI Deactivation Date January 30, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Duane Wacker, DDS was a registered Dentist practicing in Chino, CA. Throughout an active medical career spanning 15 years, Dr. Wacker provided care at the practice location at 14901 CENTRAL AVE until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

14901 Central Ave
Dental Dept

Chino, CA 917109500

Telephone 9096067197
Associated Practice Facility / Clinic
🏢 California Institue For Men Facility NPI 1346667268

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chino, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
43 Specialists

Practicing in Chino, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 017632

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1497937627

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active November 29, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 29, 2007

Registered at 14901 CENTRAL AVE, DENTAL DEPT, CHINO, CA 917109500 (Tel: 9096067197)

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Updated Business Mailing Address November 29, 2007

Registered at 14901 CENTRAL AVE, DENTAL DEPT, CHINO, CA 917109500 (Tel: 9096067197)

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Provider Name / Credentials Updated November 29, 2007

Recorded as DUANE WACKER, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2007

Dentist (License #017632 in CA)

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Initial NPI Registration & Enumeration November 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467634642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2007
Last Update: November 29, 2007
Deactivation Date: January 30, 2022

Mailing Address

14901 Central Ave, Dental Dept

Chino, CA 917109500

Phone: 9096067197

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.